Society of Environmental Toxicology and Chemistry (SETAC)

Silent auction donation form (Word file, 65 KB)

0BDonor Information 1BIndividual or Company Name: 2B 3BContact Person: 4B 5BAddress: 6B 7B 8BPhone: 9B 10BEmail: 11B 12BDonor wishes to be listed as follows: 13B 14BDonated Item(s): 15B Donation description (please state any limitations, special conditions, time restraints, or expiration date). If your donation is not a physical item, please provide promotional materials, including a description, brochure, and/or photo for display during the auction. The winning bidder will be provided with your name and contact information in order to arrange for delivery. 16B 17BEstimated Retail Value: 18B$ UShipping Information: FORMCHECKBOX ? Item will be shipped to arrive on or before Tuesday, November 5. UPlease ensure your shipping label clearly states SETAC Silent Auction.U Shipping Information will be provided by email after receipt of this form. FORMCHECKBOX ? 19BItem to be delivered to the registration desk in Milwaukee by pm. (NOTE: please try to deliver it by 4 p.m. Sunday to have ready for evening reception). 25BTo be filled out by SETAC silent auction coordinators 26BWinning Bid Amount 20B$ 21BWinner 22B 27BItem Number(s) 23B$ 24B Click on the gray area and enter the data; return by email.Thank you for your generous donation2007 SETAC 8th Silent Auction Donation Form